Individual
JESSELYN SARA FEARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3772 TIBBETTS ST, RIVERSIDE, CA 92506-2605
(888) 743-7526
Mailing address
3772 TIBBETTS ST, RIVERSIDE, CA 92506-2605
(888) 743-7526
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
61482140
WA
363AM0700X
Medical Physician Assistant
Primary
PA57195
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2273928
—
WA
Enumeration date
10/03/2019
Last updated
11/14/2025
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